| Hui et al. 88. Hui EK, Wong GHY, Tischler V, Yuan SNV, Leung WG, Saunders R, et al. Virtual individual cognitive stimulation therapy in Hong Kong: a mixed methods feasibility study. Geriatr Nurs 2022; 47:125-34. (2022) |
China Scopus Geriatric Nursing
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2C |
To translate and culturally adapt V-iCST for the Hong Kong Chinese population; to assess the feasibility and acceptability of a virtual and 14-session version of the V-iCST program in Hong Kong |
Feasibility study: mixed methods case series |
Positive adherence, with all participants completing the 14 V-iCST sessions, indicating acceptable V-iCST. Most of them evaluated the activities as “liked it very much” (76.2%) or “liked it a little”. Reliable improvements were observed in cognition, quality of life, communication and/or mood for most participants. More than half of the participants maintained or improved their results in the MoCA 5 minutes and V-iCST (ADAS-Cog) intervention group. Four participants had clinically significant changes in depression. Six participants maintained or improved their MoCA 5 minutes scores. On the ADAS-Cog, four participants’ scores improved, with a reliable 11-point increase. Qualitative results: verbalized by participants. Convenience: the participants mentioned that it was convenient to take part in a virtual program, as it saves time, since they did not have to leave their homes |
| Manenti et al. 99. Manenti R, Gobbi E, Baglio F, Macis A, Ferrari C, Pagnoni I, et al. Effectiveness of an innovative cognitive treatment and telerehabilitation on subjects with mild cognitive impairment: a multicenter, randomized, active-controlled study. Front Aging Neurosci 2020; 12:585988. (2020) |
Switzerland Embase Frontiers in Aging Neuroscience
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1B |
To evaluate the effectiveness of face-to-face VRRS system and compare it to the usual face-to-face cognitive treatment for individuals with MCI |
Randomized clinical trial |
The mean age of the participants was 76.5 years. In the comparison between the clinical-VRRS group that received telerehabilitation and the clinic-TAU group (cognitive face-to-face treatment as usual), a significant difference was observed in the clinical-VRRS group. The VRRS-clinic was more efficient than the clinic-TAU, improving memory, language, attention and vasoconstrictive skills. The at-home treatment showed that VRRS cognitive telerehabilitation has effects comparable to conventional rehabilitation in improving the cognitive abilities of patients with neurodegenerative diseases |
| Marinho et al. 1010. Marinho V, Bertrand E, Naylor R, Bomilcar I, Laks J, Spector A, et al.Cognitive stimulation therapy for people with dementia in Brazil (CST-Brasil): results from a single blind randomized controlled trial. Int J Geriatr Psychiatry 2021; 36:286-93. (2021) |
Brazil Embase International Journal of Geriatric Psychiatry
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1B |
To explore the feasibility and obtain preliminary data on the effectiveness of the CST-Brazil in a sample of 47 people with mild to moderate dementia treated at an outpatient unit |
Blinded randomized controlled trial |
Depression: the virtual group had lower scores for depression, while the face-to-face group experienced an increase in depressive symptoms. Activities of daily living: in the virtual group, there was a tendency towards an increase in independence, while in the face-to-face group, there were no significant changes. Intention to treat: it was positive, and the participants mentioned that they were interested in taking part in the activities. Severity of dementia: the results were small, positively suggesting a higher quality of life in participants with moderate dementia in the control group and no differences in the intervention group. Quality of life and caregiver burden were not significant main effects. Educational level: in caregiver burden, there was a tendency of time vs. educational level interaction that suggested a decrease in burden over time for participants with a lower level of education, but no changes in the group with a higher level of education |
| Goodman-Casanova et al. 1212. Goodman-Casanova JM, Dura-Perez E, Guzman-Parra J, Cuesta-Vargas A, Mayoral-Cleries F. Telehealth home support during COVID-19 confinement for community-dwelling older adults with mild cognitive impairment or mild dementia: survey study. J Med Internet Res 2020; 22:e19434. (2020) |
Spain CINAHL Journal of Medical Internet Research
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2C |
To explore the impact of confinement on the health and well-being of community-dwelling older adults with mild cognitive impairment or mild dementia |
Exploratory |
The health status of the participants was considered excellent, 97% of them had no symptoms of COVID-19. In total, 61% of the respondents reported general well-being and 70% maintained sleep quality. Negative experiences reported included the fear of becoming infected or infecting family members, frustration and boredom due to not being able to participate in daily activities, loss of usual routine and social isolation. Compared with participants living with other people, participants living alone reported experiencing less well-being, more anxiety and more sleep problems. They reported being sad and bored more often. There were no significant differences between the intervention and control groups in any sociodemographic variables, health status variables, or other variables associated with COVID-19. Similarly, there were no differences in terms of health management, mental health, well-being and sleep problems. Respondents with TV-AssistDem performed more memory exercises than control participants |
| Mosca et al. 1111. Mosca IE, Salvadori E, Gerli F, Fabbri L, Pancani S, Lucidi G, et al. Analysis of feasibility, adherence, and appreciation of a newly developed tele-rehabilitation program for people with MCI and VCI. Front Neurol 2020; 11:583368. (2020) |
Italy Web of Science Frontiers in Neurology
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1B |
To describe the feasibility, adherence and appreciation of the GOAL Tele-R system (telerehabilitation) |
Randomized clinical trial |
Women had a statistically significant dropout rate from Tele-R activities (66%) compared to men (27%). The overall mean rehabilitation adherence (SD) score for the treated group was 84%. Participants showed high adherence to the proposed activities: a rate of 85% for the cognitive module and 83% for the physical activity module. Only one participant carried out the entire social module, and the other participants did not carry out any of the activities proposed in this module. Regarding the results of the ad hoc satisfaction questionnaire, all participants found the program useful and their mean level of appreciation of the treatment was good. In total, 92% of participants reported being satisfied with the variety of exercises and 84% gave positive feedback in terms of ease of use. A total of 76% of the patients reported a subjectively perceived benefit in relation to cognition, physical well-being and emotional benefits after the 8-week program. The proposed GOAL Tele-R system showed encouraging results in terms of feasibility, adherence and value in the cohort of MCI/VCI patients. Considering the relatively low costs and easy accessibility of this e-health intervention, the GOAL Tele-R system appears to be an efficient and promising program to care for patients with MCI/VCI |
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